Wong, Timothy C
Wong, Timothy C is an sole proprietor health care provider with primary practice located at 6430 W Sunset Blvd Ste 703 , Los Angeles CA 90028-7910. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wong, Timothy C can be contacted via phone (323) 464-3228.Contact Information
Primary practice address
6430 W Sunset Blvd Ste 703
Los Angeles CA 90028-7910
Phone: (323) 464-3228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10748T | California |
Profile Details
| NPI number | 1851461065 |
|---|---|
| LBN Legal business name | Wong, Timothy C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Dec 18th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851461065 | NPPES |
| California | MEDICAID | SD0107480 |
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